Individual
JANE D BROCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5799 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
(719) 380-0228
Mailing address
5799 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
(719) 380-0228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0001833
CO
Other
Enumeration date
05/23/2006
Last updated
07/28/2017
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